Legislation – Mental Health Act 2025

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Introduction

1 Principles to inform decisions

2 Application of principles to Wales

3 Application of the Mental Health Act 1983: autism and learning disability

4 People with autism or learning disability

5 Grounds for detention

6 Grounds for community treatment orders

7 Grounds for discharge by tribunal

8 Appropriate medical treatment: therapeutic benefit

9 Remission or release of prisoners etc from hospital: treatment condition

10 Nomination of the responsible clinician

11 Making treatment decisions

12 Appointment of doctors to provide second opinions

13 Medicine etc: treatment conflicting with a decision by or on behalf of a patient

14 Medicine etc: treatment in other circumstances

15 Electro-convulsive therapy etc

16 Review of treatment

17 Urgent treatment to alleviate serious suffering

18 Urgent electro-convulsive therapy etc

19 Remote assessment for treatment

20 Capacity to consent to treatment

21 Care and treatment plans

22 Consultation of the community clinician

23 Conditions of community treatment orders

24 Nominated person

25 Applications for admission or guardianship: role of nominated person

26 Discharge of patients: role of nominated person

27 Community treatment orders: role of nominated person

28 Transfer of patients: role of nominated person

29 Detention periods

30 Periods for tribunal applications

31 References to tribunal

32 References: restricted patients subject to deprivation of liberty conditions

33 References: restricted patients not subject to deprivation of liberty conditions

34 Discharge: process

35 Conditional discharge subject to deprivation of liberty conditions

36 Transfers of prisoners and others to hospital: conditions

37 Transfers of prisoners and others to hospital: time limits

38 Transfer directions for persons detained in youth detention accommodation

39 Minor amendment

40 Independent mental health advocates

41 Information about complaints for detained patients

42 Information about complaints for community patients

43 Information for conditionally discharged patients

44 Advance choice documents

45 Tribunal power to recommend after-care

46 After-care services

47 Tribunal powers in guardianship cases: burden of proof

48 Removal of police stations and prisons as places of safety

49 Remand for a person’s own protection etc

50 Removal of interim remand patients to and from Channel Islands or Isle of Man

51 Human Rights Act 1998: extension to certain private care providers

52 Review of duty to notify incidents

53 Power of Secretary of State to make consequential provision

54 Power of Welsh Ministers to make consequential provision

55 Extent

56 Commencement

57 Short title

SCHEDULES

Schedule 1 Application of the 1983 Act to autism and learning disability: amendments and transitory provision

Schedule 2 Nominated persons

Schedule 3 Independent mental health advocates

Patients concerned in criminal proceedings or under sentence

35Conditional discharge subject to deprivation of liberty conditions

(1)

The Mental Health Act 1983 is amended as follows.

(2)

In section 42 (powers of Secretary of State in respect of patients subject to restriction orders), after subsection (2) insert—

“(2A)

Conditions amounting to a deprivation of a patient’s liberty may be imposed under subsection (2) if the Secretary of State is satisfied that those conditions are necessary for the protection of the public from serious harm.”

(3)

In section 73 (power of tribunal to discharge patients subject to restriction orders)—

(a)

(i)

omit the “but” at the end of paragraph (a);

(ii)

at the end of paragraph (b), after “apply” insert “; and

(c)

the tribunal—

(i)

is not satisfied that conditions amounting to a deprivation of the patient’s liberty would be necessary for the protection of another person from serious harm, if the patient were discharged from hospital; or

(ii)

is satisfied that conditions amounting to a deprivation of the patient’s liberty would be necessary for the protection of another person from serious harm if the patient were discharged from hospital, and is also satisfied that for the patient to be discharged subject to those conditions would be no less beneficial to their mental health than for them to remain in hospital”;

(b)

after subsection (5) insert—

“(5A)

Conditions amounting to a deprivation of a patient’s liberty may be imposed by the tribunal under subsection (4)(b) only where the tribunal is satisfied as to the matters mentioned in subsection (2)(c)(ii).

(5B)

Conditions amounting to a deprivation of a patient’s liberty may be imposed by the Secretary of State under subsection (4)(b) or (5) only where the Secretary of State is satisfied that those conditions are necessary for the protection of the public from serious harm.”

(4)

In section 145(1) (interpretation), at the appropriate place insert—

““deprivation of liberty” and related expressions are to be construed in accordance with section 64(5) and (6) of the Mental Capacity Act 2005;”.

(5)

The amendments made by this section apply in relation to any person who is a restricted patient within the meaning given by subsection (1) of section 79 of the Mental Health Act 1983, or is treated as a restricted patient as a result of that subsection, whether the person became such a patient (or treated as such a patient) before or after the coming into force of this section.